Prevalence of Hepatitis B Infection Among Healthy Blood Donors in Rangpur, Bangladesh

Jobaida Jannat, Md. Ashekur Rahman, Mufeq Mahmud, Md. Zia Hayder Bosunia, A. Rana, Khousnoor Hanif
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Abstract

Background: Transfusion transmitted infection (TTIs) is still an alarming issue associated with blood transfusion, as hepatitis B remains a critical public health concern in a country like Bangladesh. The predisposition of the prevalence of HBsAg infection among healthy blood donors even in a tertiary-level hospital could be a strategy for scheming and observing this problem. Methods: A cross-sectional study was conducted among all samples of a total of 11,566 units of blood screening for hepatitis B surface antigen at Rangpur Medical College Hospital, Rangpur from January 2021 to December, 2021. The prevalence of HBV infection was measured to observe the trends. Data were collected by non-probability convenient sampling, maintaining inclusion and exclusion criteria. Face-to-face interviews, blood grouping tests, and hepatitis B surface antigen (HBsAg) screening were conducted. Results: About 66% of the blood donors were between 18 and 30 years of age, and 89.6% of them were males. All the donors were replacement donors who came voluntarily. The overall seroprevalence rate of HBV among all healthy blood donors was 1.09%. About 98.4% of HBsAg-positive blood donors were males and only 1.6% were female. Hepatitis B infection was more prevalent in the 28–36 years age group and least prevalent among those older than 48 years of age. Conclusion: The decreasing trend in the prevalence of HBV infection might be the result of improvement in donor recruitment and selection, built-up awareness, proper TTIs screening, HBV vaccination and possibly decreasing HBV infection prevalence in the general population. J Rang Med Col. March 2023; Vol. 8, No. 2:49-52
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孟加拉国Rangpur健康献血者中乙型肝炎感染的流行情况
背景:输血传播感染(TTIs)仍然是一个与输血相关的令人担忧的问题,因为乙型肝炎在孟加拉国等国家仍然是一个严重的公共卫生问题。即使在三级医院,健康献血者中HBsAg感染流行的倾向也可能是策划和观察这一问题的一种策略。方法:对2021年1月至2021年12月在Rangpur医学院医院进行乙型肝炎表面抗原血液筛查的11,566个单位的所有样本进行横断面研究。测量HBV感染的流行情况,观察趋势。数据采用非概率方便抽样,保持纳入和排除标准。进行了面对面访谈、血型检测和乙型肝炎表面抗原(HBsAg)筛查。结果:献血者年龄在18 ~ 30岁之间,约占66%,其中男性占89.6%。所有的捐献者都是自愿的替代捐献者。所有健康献血者的HBV总血清阳性率为1.09%。约98.4%的hbsag阳性献血者为男性,仅1.6%为女性。乙型肝炎感染在28-36岁年龄组中更为普遍,在48岁以上年龄组中最不普遍。结论:乙型肝炎病毒感染率呈下降趋势,可能是由于供体招募和选择的改善、意识的建立、正确筛查乙型肝炎病毒感染、接种乙型肝炎疫苗以及普通人群中乙型肝炎病毒感染率可能下降的结果。J Rang Med Col. 2023年3月;第八卷,第2章49-52节
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